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Sociodemographic determinants associated with breastfeeding in term infants with low birth weight in Latin American countries

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World Journal of Clinical Pediatrics 2024年第1期13卷 141-149页

作者： Carlos Javier Avendaño-Vásquez Magda Liliana Villamizar-Osorio Claudia Jazmin Niño-Peñaranda Judith Medellín-Olaya Nadia Carolina Reina-Gamba School of Nursing Antonio Nariño UniversityBogotá111511Colombia School of Nursing Universidad Cooperativa de ColombiaBucaramanga 102536Colombia School of Nursing Universidad Nacional de ColombiaColombia 111511Colombia

BACKGROUND A progressive decrease in exclusive breastfeeding(BF)is observed in Latin America and the Caribbean compared with global *** possibility of being breastfed and continuing BF for>6 months is lower in low birth weight than in healthy-weight *** To identify factors associated with BF maintenance and promotion,with particular attention to low-and middle-income countries,by studying geographic,socioeconomic,and individual or neonatal health *** A scoping review was conducted in 2018 using the conceptual model of social determinants of health published by the Commission on Equity and Health Inequalities in the United *** extracted data with common characteristics were synthesized and categorized into two main themes:(1)Sociodemographic factors and proximal determinants involved in the initiation and maintenance of BF in low-birth-weight term infants in Latin America;and(2)individual characteristics related to the self-efficacy capacity for BF maintenance and adherence in low-birth-weight term *** This study identified maternal age,educational level,maternal economic capacity,social stratum,exposure to BF substitutes,access to BF information,and quality of health services as mediators for maintaining *** Individual self-efficacy factors that enable BF adherence in at-risk populations should be analyzed for better health outcomes.

关键词： Breastfeeding low birth weight Latin America Self-efficacy Social determinants of health

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low birth weight and Intermittent Preventive Treatment of Malaria in Pregnant Women in Lomé (Togo) in 2021: A Cross-Sectional Study

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Open Journal of Epidemiology 2024年第1期14卷 31-44页

作者： Roméo Mèdéssè Togan Ounoo Elom Takassi Fifonsi Gbeasor-Komlanvi Arnold Junior Sadio Rodion Yao Konu Martin Kouame Tchankoni Iwone Oumarou Adama Latame Komla Adoli Dzayissé Yawo Atakouma Didier Koumavi Ekouévi Department of Public Health Faculty of Health Sciences University of Lomé Lomé Togo African Center for Research in Epidemiology and Public Health (CARESP) Lomé Togo Training and Research Center in Public Health University of Lomé Lomé Togo Department of Pediatrics Faculty of Health Sciences University of Lomé Lomé Togo Global Health in the Global South (GHIGS) Team Insem UMR 1219 IRD EMR 271 University of Bordeaux Bordeaux France

Background: Since 2012, the World Health Organization has recommended intermittent preventive treatment with sulfadoxine-pyrimethamine (IPT-SP) to prevent malaria-related complications in pregnant women. Ten years following these recommendations, we conducted this study to estimate the coverage for three doses of IPT-SP (IPT3) as well as the prevalence of low birth weight (LBW), and its associated factors in Lomé (Togo) in 2021. Methods: A cross-sectional study was conducted between January and March 2021. An exhaustive recruitment of women and their newborns was carried out in the maternity wards of the Sylvanus Olympio University Hospital Center. Data from antenatal consultations and clinical data of the newborns were collected. Multivariate logistic regression was carried out to determine factors associated with LBW. Results: A total of 252 mother-child pairs were included in this study. Median age of the mothers was 27 years, IQR [24-31]. More than a third (35.3%) of the mothers were primigravida. IPT3 coverage was 66.7% and 14.7% of newborns had a LBW. The prevalence of LBW was 33.3% [23.3-43.4] in women who had received fewer than 3 doses of IPT-SP and 5.4% [2.0-8.8] in those who had received at least 3 doses of IPT-SP (p Conclusion: Ten years following recommendations of the WHO on IPT-SP, malaria prevention based on IPT-SP is not optimal among pregnant women in Lomé, and the proportion of LBW children remains high. Actions to strengthen the three-dose IPT-SP policy are needed to prevent malaria and its consequences among newborns in Togo.

关键词： Malaria Intermittent Preventive Treatment low birth weight Togo

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low birth weight in Cameroon: Research and Analysis of Factors Associated with Their Occurrence in Douala Maternity Wards

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Open Journal of Obstetrics and Gynecology 2024年第5期14卷 758-778页

作者： Henri Essome Merlin Boten Bounyom Astrid Ndolo Kondo Ingrid Doriane Ofakem Ilick Charlotte Epossè Ekoube Rita Bono Betoko Hassanatou Iyawa Fulbert Mangala Nkwele Théophile Nana Njamen Robert Tchounzou Alphonse Ngalame Nyong Charlotte Irène Cyrielle Edjoa Mboe Moustapha Bilkissou Junie Ngaha Yaneu Marga Vanina Ngono Akam Gervais Mounchikpou Ngouhouo Grâce Tocki Toutou Michel Roger Ekono Nelly Noubi Pascal Foumane Training Teaching and Research Unit in Gynecology Obstetrics and Reproduction Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon Laquintinie Hospital Douala Cameroon Faculty of Health Sciences University of Bamenda Bamenda Cameroon Faculty of Health Sciences University of Buea Buea Cameroon Faculty of Medicine and Biomedical Sciences University of Yaound&#233 1 Yaound&#233 Cameroon Faculty of Medicine and Pharmaceutical Sciences University of Ebolowa Ebolowa Cameroon

Introduction: low birth weight (LBW) is defined by the World Health Organization (WHO) as a birth weight strictly below 2500 g, whatever the term of pregnancy. It constitutes a major public health problem, both in developed and developing countries, due to its magnitude and its strong association with infant morbidity and mortality. Main objective was to study the factors associated with the occurrence of small-for-gestational-age newborns in Douala. Methodology: We carried out a cross-sectional analytical study with prospective data collection using a technical pretested sheet in the maternity wards of the Douala General Hospital, the Laquintinie Hospital, and the District hospitals of Deido, Nylon and Bonassama over a period of 4 months (January to April 2020). We were interested in any newborn, born alive, vaginally or by cesarean section, of low weight, seen in the first 24 hours from a full-term single-fetal pregnancy whose mother had given her consent. Our sampling was consecutive and non-exhaustive. We excluded newborns whose term was unclear and those with congenital malformations or signs of embryo-foetopathy. Data collection was done using survey sheets. Statistical analyzes were carried out with CS Pro 7.3 and SPSS version 25.0 software. The Student, Chi-square and Fischer tests were used to compare the means of the variables, the percentages with a significance threshold P value Results: During the study period, 305 full-term newborns were included, divided into 172 boys and 133 girls. The percentage of small-for-gestational-age newborns was 9.8%;after multivariate analysis by logistic regression to eliminate confounding factors, we found maternal factors associated with small for gestational age newborns;maternal age less than 20 years, primiparity, gestational age (37 - 38), a delay in prenatal visits greater than 14 weeks, anemia in pregnancy, positive toxoplasmosis serology in pregnancy, a body mass index of Conclusion: Our study revealed the potenti

关键词： Newborn low birth weight Gestational Age Douala

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Hypoglycaemia in screening oral glucose tolerance test in pregnancy with low birth weight fetus

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World Journal of Experimental Medicine 2024年第3期14卷 119-121页

作者： Nicoleta Gana Iulia Huluta Nicolae Gica Department of Obstetrics and Gynecology Filantropia Clinical Hospital BucharestBucharest 099098Romania Department of Obstetrics and Gynecology Carol Davila University of Medicine and PharmacyBucharest 098909Romania

Maternal hypoglycemia,a condition characterized by lower than normal blood glucose levels in pregnant women,has been increasingly associated with adverse pregnancy outcomes,including low birth weight(LBW)in ***,defined as a birth weight of less than 2500 g,can result from various factors,including maternal nutrition,health status,and metabolic conditions like *** hypoglycemia may affect fetal growth by altering the supply of essential nutrients and oxygen to the fetus,leading to restricted fetal development and *** condition poses significant risks not only during pregnancy but also for the long-term health of the child,increasing the likelihood of developmental delays,health issues,and chronic conditions later in *** in this area has focused on understanding the mechanisms through which maternal hypoglycemia influences fetal development,with studies suggesting that alterations in placental blood flow and nutrient transport,as well as direct effects on fetal insulin levels and metabolism,may play a *** the potential impact of maternal hypoglycemia on neonatal health outcomes,early detection and management are crucial to minimize risks for LBW and its associated *** investigations are needed to fully elucidate the complex interactions between maternal glucose levels and fetal growth,as well as to develop targeted interventions to support the health of both mother and *** these relationships is vital for improving prenatal care and outcomes for pregnancies complicated by hypoglycemia.

关键词： Glucose tolerance test low birth weight Hypoglycaemia High-risk pregnancy Neonatal outcome

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Maternal smoking status during pregnancy and low birth weight in offspring:systematic review and meta-analysis of 55 cohort studies published from 1986 to 2020

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World Journal of Pediatrics 2022年第3期18卷 176-185页

作者： Hong-Kun Di Yong Gan Kai Lu Chao Wang Yi Zhu Xin Meng Wen-Qi Xia Min-Zhi Xu Jing Feng Qing-Feng Tian Yan He Zhi-Qiang Nie Jun-An Liu Fu-Jian Song Zu-Xun Lu Department of Social Medicine and Health Management School of Public HealthTongji Medical CollegeHuazhong University of Science and TechnologyNo.13 Hangkong RoadWuhan 430030HubeiChina Tongji Hospital Tongji Medical CollegeHuazhong University of Science and TechnologyWuhanHubeiChina School of Public Health Zhengzhou UniversityZhengzhouHenanChina Norwich Medical School Faculty of Medicine and Health ScienceUniversity of East AngliaNorwich NR47TJUK

Background Maternal smoking during pregnancy may be associated with low birth weight(LBW)in offspring and global risk estimates have not been summarized *** aimed to systematically explore evidence regarding maternal smoking and the LBW risk in offspring globally and examine possible causes of heterogeneity across relevant *** Comprehensive search of PubMed,Ovid Embase,Ovid Medline(R),and Web of science from inception until October 2021 was carried out.A random-effects meta-analysis was used to estimate the pooled odds ratio(OR)and corresponding 95%confidence interval(CI).Restricted cubic spline analysis with three knots was used to further examine the dose-response *** Literature searches yielded 4940 articles,of which 53 met inclusion criteria(comprising 55 independent studies).Maternal smoking during pregnancy was significantly associated with the risk of LBW in offspring(OR=1.89,95%CI=1.80-1.98).Furthermore,an obvious dose-response relationship between the amount of cigarettes daily smoked in pregnancy and the risk of LBW in offspring was *** results of subgroup analyses indicated that the risk of maternal smoking on LBW was larger in more recently conducted studies(P=0.020)and longer period of active smoking during pregnancy(P=0.002).No evidence of publication bias was *** In summary,maternal smoking in pregnancy was significantly associated with a higher risk of LBW in offspring on a global *** risk of maternal smoking on infant LBW seems to be increasing over time,and was higher with longer smoking duration throughout pregnancy and more cigarettes smoked daily.

关键词： low birth weight Maternal smoking Meta-analysis Pregnancy

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Food insecurity and other possible factors contributing to low birth weight: A case control study in Addis Ababa, Ethiopia

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Asian pacific Journal of Reproduction 2020年第4期9卷 174-181页

作者： Degemu Sahlu Negussie Deyessa Naod Firdu Sahle Asfaw Department of Preventive Medicine School of Public HealthAddis Ababa UniversityAddis AbabaEthiopia Menelik II College of Health and Medical Science Kotebe Metropolitan UniversityAddis AbabaEthiopia

Objective: To determine the association between low birth weight and household food insecurity at government hospitals in Addis Ababa, ***: A case control study was carried out on 468 mothers with term neonates from February 1, 2017 to May 15, 2017. The cases were women who gave term babies weighing less than 2500 g and the controls were those having 2500 g or above. In the included hospitals, choices of cases were done as the cases found and the next three eligible newborns in the maternity room were the controls. Data were collected by using pretested and structured questionnaire. Standard beam balance was used to measure the neonatal weight by trained midwifery. The data were entered into a computer using Epi-Data 3.1 and exported to Stata version 14 for data management and analysis. Results: Mothers having food insecurity [adjusted odd ratio (AOR) 3.58;95% confidence interval (CI) (1.79-7.16)], mid-upper arm circumference [AOR 7.70;95% CI (4.39-13.60)], hypertension [AOR 4.81;95% CI (2.33-9.93)], and early age [AOR 3.88;95% CI (1.35-11.15)] showed statistically significant association with low birth weight. Conclusions: Household food insecurity, hypertension, mid-upper arm circumference and early age in women were significant predictors of low birth weight. The provision of adequate nutrient for pregnant mothers having household food insecurity should be assured in order to prevent adverse birth weight outcomes.

关键词： Household food insecurity Mothers low birth weight Neonates

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Pregnancy outcomes and risk factors for low birth weight and preterm delivery among HIV-infected pregnant women in Guangxi, China

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Chinese Medical Journal 2012年第3期125卷 403-409页

作者： Yu Lan Li Wen-ying Chen, Ray Y. Tang Zhi-rong Pang Jun Gui Xiu-zhi Meng Xiu-ning Zhang Fu-jie Chinese Ctr Dis Control & Prevent Natl Ctr AIDS STD Control & Prevent Beijing 100050 Peoples R China USCDC Global AIDS Program Beijing Off Beijing 100000 Peoples R China US Embassy US Natl Inst Hlth Natl Inst Allergy & Infect Dis Beijing 100000 Peoples R China Prov Ctr Dis Control & Prevent Outpatient Clin Nanning 530000 Guangxi Peoples R China 4 Infect Dis Hosp Nanning Dept Obstet & Gynecol Nanning 530000 Guangxi Peoples R China Maternal & Child Care Serv Hosp Liuzhou Liuzhou 545001 Guangxi Peoples R China Maternal & Child Care Serv Hosp Hengxian Hengxian 530300 Guangxi Peoples R China Capital Med Univ Beijing Ditan Hosp Beijing 100015 Peoples R China

Background Six provinces in China accounted for 70%-80% of all reported HIV/AIDS cases in the country in 2009 and five provinces accounted for 78% of all reported mother-to-child transmission （MTCT） of HIV cases. Because Guangxi belonged to both groups, the Prevention of Mother-to-Child Transmission （PMTCT） Plus program was established there to understand better low birth weight （LBW） and preterm delivery （PD） birth outcomes and their associated risk factors better. Methods Pregnancy outcomes were examined among HIV-infected pregnant women who enrolled in the PMTCT Plus program from June 2006 to February 2009 in Guangxi, China. Multivariate Logistic regression analysis was used to explore the risk factors associated with LBW （〈2500 g） and PD （gestational age 〈37 weeks）. Results The prevalence of LBW and PD among 194 HIV-positive mothers was 19.6% （38/194） and 9.8% （19/194）, respectively. Multivariate Logistic regression analysis showed that CD4 cell count 〈100 cell/IJI （multivariate-adjusted odds ratio （AOR） 5.52; 95% Cl 1.11-25.55） and CD4 cell count 100-199 cells/IJI （AOR3.40; 95% Cl 1.03-11.25, compared to CD4 cell count 〉350 cells/IJI）, gestational age 〈37 weeks （AOR 4.38; 95% Cl 1.29-14.82, compared to 〉37 weeks）, maternal weight 〈45 kg （AOR 5.64; 95% Cl 1.09-29.07） and maternal weight 45-54 kg （AOR 3.55; 95% CI 1.31-9.60, compared to 〉55 kg） at enrollment, and H IV RNA 〉100 000 copies/ml at enrollment （AOR 4.22; 95% CI 1.24-14.32） and 20 000-99 999 （AOR 2.77; 95% Cl 1.01-7.77, compared to 〈20 000 copies/ml） were associated with a higher risk of LBW. For PD, only maternal injection drug use as the route of HIV transmission （AOR 5.30; 95% Cl 1.33-21.14, compared to those infected with HIV through sexual transmission） was significantly associated with a higher risk of PD. Conclusions lower CD4 cell count and higher HIV RNA viral load at enrollment were associated with LBW. Optimal antenatal care, including earlier antenatal screening and HIV diagnosis, is critica

关键词： pregnancy outcome low birth weight preterm delivery HIV," pregnant women

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Prevalence and Factors Associated with low birth weight among Teenage Mothers in New Mulago Hospital： A Cross Sectional Study

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Journal of Health Science 2016年第4期4卷 192-199页

作者： Bayo Louis Buyungo Steven Nakiwala Margret Nabimba Ronald Luyinda Emmanuel Nsubuga Tadeo Imelda Namagembe Arabat Kasangaki Banura Cecily Department of Internal Medicine School of Medicine Makerere University College of Health Sciences P. 0 Box 7072 KampalaUganda Child Health and Development Centre School of Medicine Makerere University College of Health Sciences P. 0 Box 6717Kampala Uganda Department of Obstetrics and Gynecology School of Medicine Makerere University College of Health Sciences P. 0 Box 7072Kampala Uganda Department of Nursing School of Health Sciences Makerere University College of Health Sciences P. 0 Box 7072 Kampala Uganda Department of Dentistry School of Health Sciences Makerere University College of Health Sciences P. 0 Box 7072 KampalaUganda

The World Health Organization defines low birth weight （LBW） as a new born having a weight of less than 2,500 g at birth. low birth weight is one of the major determinants of perinatal survival, infant morbidity and mortality as well as the risk of developmental disabilities and illnesses in future lives. WHO estimates that about 30 million low birth weight babies are born annually （23.4% of all births） and they often face short and long term health consequences. Whereas the global prevalence of LBW has slightly declined, the rate in many developing countries is still quite high. In Uganda, low birth weight among teenage mothers is a problem. Our study aimed to estimate the prevalence of and identify the factors associated with low birth weight among teenage mothers in New Mulago hospital. We conducted an analytical cross sectional study among teenage mothers who delivered from new Mulago Hospital Complex labour suite from August 2013 to August 2014. Trained interviewers, administered pre-tested questionnaires to consecutive mothers to obtain information on their socio-demographic characteristics, obstetric history and child factors. Odds ratios and P-values were calculated to determine the relationship between independent and dependent variables. We also used descriptive statistics for the quantitative data. A total of 357 teenage mothers were enrolled on the study. Their mean age was 18 years （Range 13-19）, majority, 98.4% aged 15-19 years. The prevalence of LBW was 25.5%. Pre-term delivery （OR 3.3032, P = 0.0001） and multiple pregnancies （OR 0.165, P = 0.039） were associated with LBW. Malaria, young maternal age and ANC attendance were not associated with LBW. Child factors such as birth order, congenital anomalies and sex of the baby were also not associated with LBW. The prevalence of LBW is high among teenage mothers, pre-term delivery and multiple pregnancies were associated factors with LBW. Health professional＇s need to address teenage maternal health. Heal

关键词： Prevalence low birth weight teenage mothers Mulago Uganda.

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An Epidemiological Model Investigating the Association between Mothers Nutritional Status and low birth weight in India

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Health 2016年第3期8卷 251-261页

作者： Dharmendra Kumar Dubey Dilip C. Nath Department of Statistics Gauhati University Guwahati India

Introduction: low birth weight (LBW) is the dominating risk factor for infant morbidity and mortality. LBW infants were three times more likely than normal birth weight infants to have neuro developmental complications and congenital abnormalities. The World Health Organization (WHO) has defined the term low birth weight (LBW) as birth weight less than 2500 grams. Objective: To develop epidemiological model investigating the association between mother’s nutritional status and low birth weight in India. Data and Methods: Third round of the National Family Health Survey (NFHS-3) data collected during 2005-2006 is used for this study. This data provides a comprehensive picture of population and health conditions in India. To check the association between variables coefficient of contingency was calculated and multivariable logistic regression model was applied to check independent effect of covariates. Univariate, bivariate and multivariable logistics regression model has been developed to investigate the association between mother’s nutritional status and low birth weight in India. Adjusted odds ratios were calculated with 95% confidence interval. Conclusion: The prevalence of low birth weight was observed high among those women who were underweight, anemic, never visited for any ANC checkup. Emphasis needs to be given to maternal nutritional factors which are more persistent across India than the impact of other factors on birth weight. This can be done by selectively targeting interventions to improve nutrition.

关键词： low birth weight BMI Anemia ANC

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Passive Smoking and Other Principal Risk Factors Associated with low birth weight

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Open Journal of Obstetrics and Gynecology 2016年第7期6卷 390-395页

作者： Yassir Ait Benkaddour Btissam Fatih Farah Majdi Abderraouf Soummani Department of Obstetrics and Gynecology Faculty of Medicine and Pharmacy University Hospital Mohammed VI Cadi Ayyad University Marrakesh Morocco

Background: Neonatal morbidity and mortality is one of the most public health problems in the world. A lot of neonatal deaths occur in foetus with low birth weight (LBW). Several risk factors of LBW have been described in the literature such as maternal age, chronic and gestational hypertension infection and anémia. Smoking is one of the most important preventable risk factor of LBW in developed and developing countries. Aims: In this study, we evaluated the incidence and the impact of passive smoking and some other principle risk factors of LBW. Material & Methods: This case control study was conducted in the department of obstetrics and gynecology of Marrakesh university hospital in Morocco. During a period of 3 years, all LBW babies were included in the study. Data analysis was performed by SPSS software. The association between LBW and each variable was studied by the chi square test comparing cases and controls groups. Logistic regression analysis was performed after including all variables found to have significant differences on univariate analysis. Results: 288 cases of LBW have been identified representing 2.19% of all births. The study of the categories showed that 84.3% of babies were moderate LBW (1500 - 2500 g), including 49 babies from twin pregnancies. 15.7% were very LBW (low birth weight, which is one of the main predictors of infant mortality. This study shows that passive smoking is one of those risk factors and it is a preventable one.

关键词： low birth weight Passive Smoking Epidemiology Risk Factors

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